Dengue clinical management : facilitator's training manual

Overview

This facilitator’s manual is designed to support the implementation of the Dengue Clinical Management training course. The guide contains specific instructions for the facilitator and provides:

  • a detailed description of the clinical course of dengue illness, which reflects the dynamic and systemic nature of dengue that has crucial bearing on the patient’s management;
  • a detailed description of the basic pathophysiological changes of severe dengue (i.e. plasma leakage and hypovolaemia/shock) and guidance on the recognition of these changes and appropriate action of management;
  • a brief discussion on WHO classification (1997) and its limitations;
  • guidance on the differential diagnoses that can be confused with dengue or vice versa; they were described according to the stage of disease;
  • a more focused guide on the disease monitoring in accordance with the dynamic changes as the disease progresses;
  • emphasis on the importance of monitoring the plasma leakage (haemodynamic status of the patient, clinical signs of plasma leakage and haematocrit);
  • a clearer algorithm for fluid management in cases of severe dengue; and
  • emphasis on the importance of recognizing or suspecting significant occult bleed. Keep the facilitator’s manual with you each day as you prepare and deliver the information. Use it as a reference when delivering classroom presentations, but avoid reading directly from it during sessions.

     

WHO Team
Control of Neglected Tropical Diseases (NTD), Viet Nam, WHO Western Pacific
Editors
World Health Organization. Regional Office for the Western Pacific
Number of pages
60
Reference numbers
ISBN: 9789290616221
Copyright
CC BY-NC-SA 3.0 IGO